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HECTOR A LALAMA MD PA
NPI 1992773246
Psychiatry & Neurology - Neurology in Coral Gables, FL

Active since March 11, 2006PECOS EnrolledAccepts Medicare Assignment
801 SANTIAGO ST, CORAL GABLES, FL 33134(305) 448-9797(305) 448-9791 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hector A Lalama Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HECTOR A LALAMA MD PA (NPI 1992773246) is an individual neurology provider in Coral Gables, Florida, licensed in Florida (ME058230) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1992773246
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameHECTOR A LALAMACredential: MD PA
Location Address801 SANTIAGO STCoral Gables, FL 33134-2518
Mailing Address801 Santiago StCoral Gables, FL 33134-2518 · (305) 448-9797 · Fax (305) 448-9791
Phone(305) 448-9797
Fax(305) 448-9791
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 11, 2006
Last NPPES UpdateOctober 22, 2013
✔ NPI 1992773246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME058230
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME058230 (FL)
801 SANTIAGO ST, Coral Gables, FL 33134
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Other Identifiers 3

Medicaid058085600FL
Medicare UPINF19432FL
Medicare ID-Type Unspecified14583UFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hector A Lalama Md Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466415112
PECOS Enrollment IDI20041108000191
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
228 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
136 services121 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$61.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HECTOR A LALAMA MD PA
Nurse Practitioner (Primary Care)
801 SANTIAGO ST
CORAL GABLES, FL 33134
Miami-Dade County (305) 448-9797
MRS. EVA ESTHER TOMEU ARNP
Nurse Practitioner (Adult Health)
801 SANTIAGO ST
CORAL GABLES, FL 33134
Miami-Dade County (305) 448-9797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hector Lalama's NPI number?

The NPI number for Hector Lalama is 1992773246. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Hector Lalama located?

Hector Lalama practices at 801 Santiago St, Coral Gables, FL 33134. The listed phone number is (305) 448-9797.

What is Hector Lalama's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hector Lalama enrolled in Medicare?

Yes. Hector Lalama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hector Lalama accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Hector Lalama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hector Lalama affiliated with any hospitals?

According to CMS data, Hector Lalama is affiliated with Larkin Community Hospital.

When was this NPI record last updated?

The NPPES record for Hector Lalama was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.